A randomized controlled trial to compare two botulinum toxin injection techniques on the functional improvement of the leg of children with cerebral palsy
| Autor: | Tie-bin Yan, Kaishou Xu, Jian-ning Mai |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Modified Ashworth scale Physical Therapy Sports Therapy and Rehabilitation Electric Stimulation Therapy Palpation law.invention Cerebral palsy Physical medicine and rehabilitation Randomized controlled trial law medicine Spastic Humans Spasticity Botulinum Toxins Type A Range of Motion Articular Child Gait Disorders Neurologic Physical Therapy Modalities medicine.diagnostic_test Cerebral Palsy Rehabilitation medicine.disease Combined Modality Therapy medicine.anatomical_structure Neuromuscular Agents Muscle Spasticity Child Preschool Physical therapy Female medicine.symptom Ankle Range of motion Psychology |
| Zdroj: | Clinical rehabilitation. 23(9) |
| ISSN: | 1477-0873 |
| Popis: | Objective: To compare the efficacy of botulinum toxin type A injection guided by different localizing techniques, electrical stimulation and palpation, to treat spasticity of the ankle plantar flexors.Design: Randomized controlled trial.Setting: Hospital neurology and rehabilitation department.Participants: Sixty-five children with spastic hemiplegic or diplegic cerebral palsy.Interventions: Botulinum toxin injection guided by electrical stimulation or palpation, and two weeks of physiotherapy.Main outcome measures: Passive range of movement (ROM), modified Ashworth Scale, Composite Spasticity Scale, D and E dimensions of the Gross Motor Function Measure, walking velocity.Results: Three groups improved significantly (PConclusions: Botulinum toxin injection guided by electrical stimulation plus physiotherapy is likely to be best in improving spasticity and functional performance in children with cerebral palsy. |
| Databáze: | OpenAIRE |
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